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Dr. G.S. Sainani

Cardiologist, Mumbai

2500 at clinic
Dr. G.S. Sainani Cardiologist, Mumbai
2500 at clinic
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Hello and thank you for visiting my Lybrate profile! I want to let you know that here at my office my staff and I will do our best to make you comfortable. I strongly believe in ethics; a......more
Hello and thank you for visiting my Lybrate profile! I want to let you know that here at my office my staff and I will do our best to make you comfortable. I strongly believe in ethics; as a health provider being ethical is not just a remembered value, but a strongly observed one.
More about Dr. G.S. Sainani
Dr. G.S. Sainani is a trusted Cardiologist in Jaslok Hospital, Mumbai. He is currently associated with Sainani Medicare Clinic in Jaslok Hospital, Mumbai. Book an appointment online with Dr. G.S. Sainani on Lybrate.com.

Lybrate.com has an excellent community of Cardiologists in India. You will find Cardiologists with more than 32 years of experience on Lybrate.com. You can find Cardiologists online in Mumbai and from across India. View the profile of medical specialists and their reviews from other patients to make an informed decision.

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Door No 401, Doctor House, Peddar Road, Landmark:Opposite Jaslok Hospital, MumbaiMumbai Get Directions
2500 at clinic
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How to Diagnose and Manage Acute Coronary Syndrome

DM Cardiology
Cardiologist, Delhi
How to Diagnose and Manage Acute Coronary Syndrome

The word acute coronary syndrome refers to a group of symptoms that are caused by blockage of the blood flow to the heart muscles.  The most common result of this is myocardial infarction or heart attack as it is popularly called. Reduced blood flow leads to death of some portion of the heart muscle wall. While the word heart attack sounds almost fatal, it need not be the case. Knowing how to identify an attack and being aware of some simple measures can help save lives. 

Symptoms
The tell tale signs of a heart attack are as follows:

  • Chest pain and discomfort usually described as a tightness or burning in the chest region
  • Pain along the left side of the shoulder and neck, going up into the jaw, down to the arm
  • Nausea and vomiting 
  • Profuse sweating 
  • Difficulty breathing 
  • Dizzy or fuzzy feeling 
  • Tired, extreme fatigue
  • Anxious, apprehensive feeling 

However, be also aware that there are a lot of people who experience a silent heart attack. Women, obese, elderly, and diabetic patients can have silent attacks and depending on severity, either they go on with life as usual or can have a fatal attack.

Diagnosis
Once you are doubtful of a heart attack, the next step is to reach the closest medical facility for a diagnosis.  In addition to a detailed examination and history, the following two tests will be performed.

  1. Electrocardiogram (ECG): A 12-lead ECG will measure electrical activity of the heart and identify irregular electrical activity, which is indicative of a myocardial infarction.
  2. Blood tests:  Presence of certain enzymes in the blood, CK-MB and troponin are indicative of a heart attack.  A complete electrolyte profile also will be done, and increase or decrease of some electrolytes is helpful in diagnosing a heart attack.
  3. In addition to these two, chest radiography, cardiac angiography, echocardiogram, stress test, and computed coronary tomography may also be required to confirm the diagnosis.

Management
Once diagnosed, the first step would be to relieve the symptoms, negate the effects of reduced blood flow, and restore cardiac function. 

  1. Dissolve the clot: Using thrombolytics like clopidogrel 
  2. Nitroglycerin: To dilate the blood vessels and improve blood flow, especially to the heart muscles
  3. Anticoagulant therapy: Blood thinners are usually used to avoid blood clot formation; aspirin and heparin are the most commonly used agents.
  4. Drug therapy: Blood pressure maintaining drugs like beta blockers and/or angiotensin-converting enzyme (ACE) inhibitors are also used
  5. Use of Statins: Statins are used to reduce the amount of cholesterol in the blood and stabilize plaque deposits.

In very severe cases, angioplasty and stenting or coronary bypass surgery may be required. Educating people on how to identify a heart attack and manage it is very useful and can help save lives.

4569 people found this helpful

I have a fractured leg since one week and my weight is rising at a very high rate and cholesterol level too please suggest some diet measures to control weight.

PG Diploma in Emergency Medicine Services (PGDEMS), Bachelor of Ayurveda, Medicine and Surgery (BAMS), MD - Alternate Medicine
Ayurveda, Ghaziabad
I have a fractured leg since one week and my weight is rising at a very high rate and cholesterol level too please su...
Best way to reduce fat is exercise and diet control....take pranacharya medohar rasayn twice a day....medohar guggul 2-2 twice a day....and pranacharya slim capsule 1-1 twice a day...avoid junk food...oily food...fermented food..alcohol consumption..sugar....milk products and sweets....take oats and cereals more..and do pranayama early in the morning and walk for atleast 45 minutes a day...and do exercises....dont sleep immediately after taking meal...
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Hi, my mother has bp 170-180/100-110. She also takes 25mg bp tablet starting from last week. But I am very worried for her. What things should be taken care of and is there any other medicine required?

CLINICAL CARDIOLOGY, MD - Consultant Physician
Cardiologist, Surat
Hi, my mother has bp 170-180/100-110. She also takes 25mg bp tablet starting from last week. But I am very worried fo...
Hi. This is definitely elevated bp and required treatment. You need to tell us what is the medicine that she is taking presently. Also need to know weather she has any other medical illness like asthma, diabetes, kidney problems etc.
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I am suffering from dry cough for the last 2 weeks I have chest pain whenever I cough hard please suggested to me.

MBBS
General Physician, Cuttack
I am suffering from dry cough for the last 2 weeks I have chest pain whenever I cough hard please suggested to me.
1. Do warm saline gurgling 3-4 times daily 2. Take viscodyne d syrup 2tsf thrice daily 3. You may have to take antibiotic along with it and carry out investigations like blood and xray chest after consulting physician, if no relief4. Avoid smoking if you smoke 5. Consult me for further advice.
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Age is 49 years is alcoholic since 30 years drinks 180 to 300 ml of hard liquor daily now is facing high sugar ,cholesterol problems creatinine level is also high how can we solve this issue please guide.

MBBS, DPM
Psychiatrist, Bangalore
Age is 49 years is alcoholic since 30 years drinks 180 to 300 ml of hard liquor daily now is facing high sugar ,chole...
Dear lybrate-user, you are dependent on alcohol. Alcohol is a ready made sugar/glucose, fully digested. It will difficult for you to control your blood sugar level if you continue drinking. Cholesterol is produced in the body by liver. Probably your liver is damaged causing cholesterol problems. High creatinine level shows your kidneys are under protest. They may give up if you don't get treated. It is better for you to give up alcohol completely. It can not be done by yourself at home. It will have withdrawal symptoms which needs treatment in a hospital for at least 10-14 days. During detoxification itself your sugar, cholesterol and kidneys can be repaired with appropriate drips and tablets. You are still young. I think your children may be still dependent on you. Probably your parents may not be able to support. So there is an urgent need for you give up alcohol in a hospital and get treated for other medical problems. All the best.
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My sugar level and blood pressure is on high level. I also take medicines and insulins regularly. How I control that.

MBBS
General Physician, Ahmednagar
My sugar level and blood pressure is on high level. I also take medicines and insulins regularly. How I control that.
You should try altering the doses of your regime. You should take brisk walks daily, eat plenty of leafy vegetables.
2 people found this helpful
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Hi, I'm suffering from hypertension from 1 & 1/2 years i'm in medication period how can control my BP please tell to me.

BAMS
Ayurveda, Ambala
Hi, I'm suffering from hypertension from 1 & 1/2 years i'm in medication period how can control my BP please tell to me.
To control & maintain Blood pressure to normal these are best methods to follow:.• Do physical exercise like jogging, running or brisk walk for atleast 20-30 minutes. • Maintain your cholesterol level to normal & eat least amount of butter, cream or fatty things. • Eat less amount of pickle, salt and fast food as they contain high sodium levels. • Avoid drinking alcohol and smoking. • Take less amount of caffine containing coffee, tea or cold drinks because caffine causes increase BP. • Drink 8 to 10 glass of water daily • Take 6 to 8 hrs of sleep daily. Do not take too much stress. • Do long breathing pranayams (Anulom- Vilom, Bhramari) daily for 10 - 15 minutes. It will reduce your stress level in your body. • Eat healthy diet such as green leafy vegetables, fruits. • Take 5 ml of GULAB Jal added in a glass of water daily once a day.
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He had cholesterol and protien from so many years but even after taking medicine from long time, it can not be controlled. How it could be controlled.

DHMS (Diploma in Homeopathic Medicine and Surgery)
Homeopath, Ludhiana
He had cholesterol and protien from so many years but even after taking medicine from long time, it can not be contro...
• Try to keep your consumption of saturated fats to a minimum. • Aim to replace saturated fats, with moderate amounts of ‘good’ fats also known as monounsaturated and polyunsaturated fats. • Grill, steam, boil and bake foods instead of frying and roasting. • Eat plenty of fibre-rich foods. • Enjoy healthy snacks such as fruit, nuts and seeds, olives etc. • Eat at least two portions of fish per week, one of which should be oily (Choose from salmon, mackerel, sardines, pilchards or herring). • Include foods enriched with plant stanols/sterols, which are clinically proven to lower ‘bad’ LDL cholesterol as part of a healthy diet and lifestyle. • Stay physically active. at least 30 minutes of moderate intensity exercise on five or more days of the week. • Avoid smoking. • Try and manage your stress levels. Foods to avoid Limit saturated fats and oils, such as butter, palm oil, and coconut oil. Instead, use soft vegetable oils, such as olive or canola oil. Avoid trans fats or partially hydrogenated vegetable oils. These oils go through a process that makes them solid. They're found in some hard margarines, snack crackers, cookies,and chips. Limit fatty meats such as corned beef, , ribs, steak, ground meat, hot dogs, sausage, bacon, and processed meats . Also limit organ meats like liver and kidney. Replace with skinless chicken or turkey, lean beef, pork, lamb, and fish. Try some meatless main dishes, like beans, peas, pasta, or rice. Limit meat, poultry, and fish to no more than two servings, or 140 g, a day. Remember that a serving is about the size of a deck of playing cards. Limit egg yolks.  Limit milk products that contain more than 1% milk fat. This includes cream, most cheeses, and nondairy coffee creamers or whipped topping (which often contain coconut or palm oils). Instead try fat-free or low-fat milk (0% to 1% fat) and low-fat cheeses.  Limit snack crackers, muffins, quick breads, croissants, and cakes made with saturated or hydrogenated fat, whole eggs, or whole milk. Try low-fat baked goods, and use any spreads or toppings lightly. Instead of using butter or margarine on bread, try dipping it in olive oil. Avoid fast foods like hamburgers, fries, fried chicken, and tacos. They are high in both total fat and saturated fat. When you eat out, choose broiled sandwiches or chicken without skin, salads with low-fat dressing, and foods that aren't fried. Ask the server to leave off the cheese and high-fat dressings like mayonnaise. Homoeopathic medicine ALLIUM SATIVA Q ( Dr Reckeweg) Drink 10 drop in 20 ml freh water twice daily CHOLESTRINUM 3X ( Dr Reckeweg) Chew 2 tabs twice daily Report after 3months with latest blood reports of your lipid profile.
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Dear Sir, I am a cholesterol patient some time low some time high. I am taking daily one storvas 10 mg as prescribed by Doctor. Just I want to ask you can I use PROTINEX POWDER FOR MORE PROTEIN TAKING MORE PROTEIN DO? INCREASES CHOLESTEROL PLS. ADVICE. THANKS.

BAMS, MD Ayurveda
Sexologist, Lonavala
Dear Sir, I am a cholesterol patient some time low some time high. I am taking daily one storvas 10 mg as prescribed ...
You can go for following remedy it will help you 1. Take 1 glass water 2. Add 2 tbsp of coriander seeds 3. Boil it for 15 min 4. Strain the mixture 5. Allow it to cool 6. Drink 3 times a day Causes: • Overweight • Consuming fat-rich food like: O Pastries and cakes o Butter O Meat O Fish O Eggs • Smoking • Drinking • Stress • Hereditary factors It will surely help you.
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I am a 45 years old married male and have hypertension since last 9 years and I am taking tab co approval in the morning with breakfast daily. Its ibesartan with hydroclorothozide. I have a very good german bp checking machine at home and my bp remains at 130/ 85. But sometimes due to some stress as soon as it goes above 90 I get headache and spinning sensation in my head. If I forget to take tablet even for one day I sometimes face this, but if I am on a holiday and relaxed and forget to take the tab its fine. I do treadmill for 30 minutes almost 5 times in a week and do weights for 5 minutes. My weight is 79 kgs and my height is 5.6 feet. I have a medium body but have a tummy. My waist is 34. Am I taking the right tablet and dosage or I need to change. By night time I feel tired and go to sleep whenever on bed. I have lot of urge for sex too but sexual life is not good as wife is not interested much.

Advanced Aesthetics
Ayurveda, Gulbarga
I am a 45 years old married male and have hypertension since last 9 years and I am taking tab co approval in the morn...
When a woman's not interested in sex?and would like to be?it may have something to do with her relationship, her upbringing, or something else in her experience, but there could also be a medical explanation. For instance: 1. Reduced blood flow Diabetes and high blood pressure are among the health problems that can restrict genital blood flow. 2. Hormonal issues Menopause, breast-feeding, birth control pills, and thyroid problems can dampen sexual desire. 3. Medication side effects Antidepressants and chemotherapy agents such as tamoxifen are frequently to blame. Approaching Menopause, She Stopped Wanting Sex More about women and sex ? Medical Reasons for Low Sex Drive ? Psychological Reasons for Low Sex Drive ? Answers About Women's Sex Problems ? The Female Dysfunction Debate 4. Nerve damage Pelvic surgery can cause nerve damage, as can diseases such as multiple sclerosis or Parkinson's. Other reasons for low desire might include lack of sleep or depression. Talk to a doctor or sex therapist If you have low desire, get checked out by your primary care doctor. Whether or not he or she finds a physical problem, a consultation with a certified sex therapist can be helpful, because physical sex problems usually create a psychological or relationship issue, as well. "It's usually not just one thing," says Marjorie Green, MD, director of the Mount Auburn Female Sexual Medicine Center in Cambridge, Mass., and a clinical instructor at Harvard Medical School. On the other hand, if you feel your lack of desire is a physical issue and your primary care doctor is not able or willing to help, you may want to consult a sexual medicine specialist. Treatments These vary depending on the source of the problem, but may include switching prescription medication, taking estrogen or testosterone, taking a drug that increases dopamine levels, or trying products such as Eros Therapy, an FDA-approved prescription-only device that uses gentle suction to increase blood flow to the clitoris and vulva. Some women may also see improvement with regular exercise, sex therapy, or relationship counseling.
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Hello sir, I am having hypertension and diabetes type 2 since 1997 presently on. Pantadoc 40__empty stomach Gemer 2____before break fast Triolmezest & becatrol___after break fast Cilacar10mg &tonect asp 75 at night My angiography normal rft test normal lipid profile normal. Sir, my questions are as below. 1-reason of bp always 150/90 after above medicins 2-in futharmful medicine may harmful and may cancer Thanks

SENIOR RESIDENCY-ENDOCRINOLOGY, FELLOWSHIP IN DIABETES AND ENDOCRINOLOGY, MD, MEDICINE
Endocrinologist, Bangalore
The causes can be many. Firstly i would want u to tell me your creatinine values. Second, are u 100% complaint to ur medicines? If you are then may be we need to find the cause for the high bp. That may involve adding a new drug or adjusting the doses of ur old drugs. Also we need to search if any other causes are there for ur HTN.
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I am suffering from hypertension from last 8 month? Please recommend me some medicine to cure this disease.

BAMS
Ayurveda, Ambala
I am suffering from hypertension from last 8 month? Please recommend me some medicine to cure this disease.
Dear, To control & maintan BP normal these are best methods to follow: • Maintain your cholesterol level to normal & eat least amount of butter, cream or fatty things. • Eat less amount of pickle, salt and fast food as they contain high sodium levels. • Avoid drinking alcohol and smoking. • Take less amount of caffine containing coffee, tea or cold drinks because caffine causes increase BP. • Drink 8 to 10 glass of water daily • Take 6 to 8 hrs of sleep daily. Do not take too much stress. * Do running and jogging daily for 15 minutes. Start with 5 minutes then increase time period slowly. Do morning and evening walk daily. • Do long breathing pranayams (Anulom- Vilom, Bhramari) daily for 10 - 15 minutes. It will reduce your stress level in your body. • Eat healthy diet such as green leafy vegetables, fruits. • Take 5 ml of GULAB Jal added in a glass of water daily once a day.
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I am a 19 year old boy! I don't know what to do but when someone comes and checks my blood pressure it suddenly becomes high as I feel anxiety suddenly. Please tell me what to do. I don't have any problem as such. I can run long distances without any problem.

PG Diploma In Clinical Cosmetology (PGDCC), MBBS
Cardiologist, Mumbai
I am a 19 year old boy! I don't know what to do but when someone comes and checks my blood pressure it suddenly becom...
Hello. This is called white coat hypertension. This does not mean that you have hypertension. Since you are active and no symptoms, you need not worry, relax.
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Dear doctor, Please just make me understand that, is there any good cholesterol or bad cholesterol.

B H M S, MD
Homeopath, Thrissur
Dear doctor,
Please just make me understand that, is there any good cholesterol or bad cholesterol.
Yeah there is good cholesterol called high density choleterol or hdl and bad cholesterol called low density cholesterol. Low density cholesterol is bad for health and it may cause blood vessel clogging leading to thrombus formation and heart attacks. So it should be kept below 130 and high density cholesterol is good if it go high above 40. Total cholesterol should be kept below 200 and it can come up to 250 which is border line. You can reduce cholesterol with exercising your body and mind with yoga, pranayam etc. You can practice healthy life style with eating fibrous food, raw vegetables, fruits etc. Avoid fatty and fried food especially junk food and soft drinks.
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If the patients is alone in a room and having heart attack. Then what should he do. And my hair fall is too. So please give me any medicine name for controlling the hair fall problem.

MBBS, cc USG
General Physician, Gurgaon
If the patients is alone in a room and having heart attack. Then what should he do.
And my hair fall is too. So pleas...
Situation you are talking, Is how pt will understand that he is having heart attack, He will feel chest pain, breathing diff than he can inform relative and friends About Hair fall There can be several factors behind hair loss such as Environmental effects like Pollution Normal aging too much stress/ Anxiety smoking nutritional deficiencies hormonal imbalance genetic factors scalp infections like Dandruff You can use Satinique Hairfall Control Shampoo Consult me for further management
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I want to reduce tension and I want to be always happy sometimes fear inside my heart and while in sleeping, I want to also reduce fat, I am obesity, I want to have a perfect relationship with my wife.

M.S. Counselling and Psychotherapy
Psychologist, Bangalore
I want to reduce tension and I want to be always happy sometimes fear inside my heart and while in sleeping, I want t...
Dear lybrate user, to reduce stress in your life, start some exercise, meditation or pick up any hobby. Try to understand the source of this stress, analyse it and find the best options to get rid of this. Stress might cause overeating, so please learn" stress management techniques" to lose weight, concentrate on food having lesser calories and more of proteins and nutrients. Have plenty of water. Go for regular exercise, yoga, cycling, jogging whatever you like. To have perfect relations with your wife, understand what she needs from you. Encourage her to express her feelings and needs and you also express your feelings and needs to her. Open communication, individual freedom of choice, faith, care and love make a healthy married relationship. Also, please understand that if you want to have an" ideal" life, which will have less stress, no sadness and excellent relationships, then you are sure to be disappointed. Every other person in this world would like to have this. But this is not possible. We all will have some stress in life, we cannot be always happy, there will be sad moments in our life. Our relationships also will never be perfect, because each person in this world is unique and hence it is difficult to get along with other people. Because of all this, it is important to have" rational expectations" from life and even from people around us. If you try to be a perfectionist, you might not be satisfied in life. Take care.
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Foods That Can Be Used To Reduce Blood Sugar Level

M.Sc. in Dietetics and Food Service Management , Post Graduate Diploma In Computer Application, P.G.Diploma in Clinical Nutrition & Dietetics , B.Sc.Clinical Nutrition & Dietetics
Dietitian/Nutritionist, Mumbai
Foods That Can Be Used To Reduce Blood Sugar Level

High blood sugar occurs when the insulin in the body fails to metabolize the sugar from the food, which raises the amount of glucose in your blood. It is a metabolic disorder which can be managed effectively with the help of lifestyle modifications such as exercise and food. This article is going to focus on the foods that you can eat to lower your blood sugar levels.

Here are 9 foods that you can use to reduce blood sugar levels:

Cinnamon: cinnamon is a herb which is very effective in getting your blood sugar down to manageable levels. You can simply sprinkle cinnamon on your food before eating it.

Fenugreek (methi): fenugreek is a common spice which is used in almost all indian cuisines. It has a number of health benefits, one of which is reducing blood sugar levels. Soaking fenugreek in water and then drinking it the next day is a very effective remedy in combating sugar problems.

Garlic: not just for sending away the vampires, it is also very effective in blood sugar control. Extracts of garlic have been shown to increase insulin in the body which is required to metabolize the sugar in the body.

Heart healthy fats: heart healthy fat based foods such as nuts and seeds are good for increasing the good cholesterol levels (hdl) in the body. Avocadoes contain nutrients which lower the risks of various diseases such as diabetes. In a nutshell, these fats make the cells of the body less resistant to insulin.

Blueberries: blueberries contain anthocyanin (water soluble pigments) which is very good for your health. They also contain fiber in large amounts which make you feel fuller faster. This fruit has also been shown to improve insulin sensitivity in the body.

Vinegar: vinegar is an age old remedy to control blood sugar levels; it contains acetic acid which causes a reduction in certain harmful enzymes in the stomach. Vinegar is also known to prevent blood sugar spikes when consumed with food.

Complex carbohydrates: complex carbohydrates raise your blood sugar but not like its cousin, simple carbohydrates. Simple carbohydrates cause an immediate spike in your blood sugar levels where as complex carbs provide a steady stream of energy. So drop that packet of refined flour and get that whole wheat variant.

Cherries: cherries, especially tart cherries and dark sweet cherries, are full of anthrocyanins. Insulin resistance prevents insulin from working properly to control blood sugar in normal ranges. Eating a diet high in anthrocyanins can mean improved use of insulin and lower blood sugars.

Nuts: people who eat nuts regularly have lower rates of heart disease than people who don't eat them.

17 people found this helpful

My father have diabetes and after few years sugar affects on kidney and my father creatinine goes to 6-7 and one thing more water is filled in lungs due to kidneys and he have bp problem alsoDialysis is done after one month. please suggest this all can be cured permanently

MBBS, CCEBDM, Diploma in Diabetology
Endocrinologist, Hubli-Dharwad
My father have diabetes and after few years sugar affects on kidney and my father creatinine goes to 6-7 and one thin...
Ramandeepji, The things described by you suggest that the patient is having chronic renal failure, which is one of the severe complications pf long standing diabetes. This comes about when blood sugar is not well controlled for many years. Now the options are limited. He has to be probably shifted on to Insulin injections for stricter blood glucose control (Fasting closer to 100 mg and PP <180 mg and HbA1c% <7). Plus there has to be strict monitoring of salt intake (not more than 2 g a day), taking food providing less protein. Dialysis has to be continued. His BP also should be very closely monitored. There is no cure for any of these conditions, proper medication and appropriate diet and drug therapy is the only option.
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Hello And my both chest are dissimilar in shape. Means to say right side is good but not left side. I think there is problem in my rib cage. What may I do now. Help me out!

M. Ch. (Plastic Surgery), MS - General Surgery, MBBS
Cosmetic/Plastic Surgeon, Delhi
Hello And my both chest are dissimilar in shape. Means to say right side is good but not left side. I think there is ...
Hi the condition of asymmetry of chest can be due to varies causes. You need to be evaluated thoroughly by a plastic surgeon.
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